![]() MINIMUM QUALIFICATIONS A Bachelor’s degree in social work or related degree or a Licensed Practice Nurse, or a Licensed Respiratory Therapist required. External customers: home health agencies, nursing homes, insurance providers, group homes, assisted living facilities, hospice, long-term acute care hospitals, inpatient rehabilitation facilities, volunteer agencies, county/governmental agencies and medical supply companies and others as required. ![]() Internal customers: Post-acute services team members and all levels of nursing management and staff, medical staff, and all other members of assigned facility interdisciplinary health care team. Confers with supervisor/manager on any unusual situations and communicates plans and activities for patient discharge across the care continuum. Employee has freedom to determine how to best accomplish functions within established procedures and implements the discharge plan under the delegated authority of a provider, licensed MSW, registered nurse or other licensed healthcare professional. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with transition of care planning and choices. Discusses with patient, caregiver, and/or family maintaining clear communication regarding anticipated discharge date and potential care settings. Serves as an intermediary when providing community resources to patients, caregiver, and families. Performs follow-up calls to patients and providers as indicated and report any concerns to leadership. ![]() Assist and support patients and families in making appropriate arrangements for the post-acute plan. Performs transfer of accurate, pertinent patient information between all appropriate entities of the post-acute care continuum. Documents all interventions in the patient medical record both timely and accurately including all elements of the discharge plan. Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned. Collaborates with all members of the healthcare team to implement, manage and communicate the transition of care arrangements. Facilitates/ implements the care plan with proposed interventions in collaboration with healthcare team. Notifies care coordination team member(s) if patient or caregiver demonstrate or verbalize any inability/concern to be able to manage their post-acute plan or responsibilities. Processes and facilitates the timely discharge/transfer of clients from hospital care to identified post-acute setting. Provides on-site or telephonic discharge arrangements to post-acute and community services. Facilitates discharge plan for the transition of care and services into the designated setting or service. ![]() POSITION SUMMARY This position facilitates the safe and timely transition of clients from acute care to alternative levels of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and/or home care or community program. This position offers a weekend schedule which is eligible for a flat rate $3/hour weekend shift differential. Schedule: 4 Ten hour shifts, 7am-5:30pm, with rotating weekend. You should be willing to work collaboratively with care coordination team members to identify any barriers to a safe discharge, and works with patient/family to provide clear communication regarding discharge plan. Additional responsibilities include providing on-site or telephonic discharge arrangements to post-acute and community services. You will also facilitate discharge plan for the transition of care and services into the designated setting or service. As a Transitional Care Associate, you will facilitate the safe and timely transition from acute care to alternative levels of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and/or home care program. If changing health care for the better sounds like something you want to be part of, apply today. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. Primary City/State: Sun City, Arizona Department Name: Work Shift: Day Job Category: Clinical Care A rewarding career that fits your life. ![]()
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